Provider Demographics
NPI:1083743249
Name:BORUN, ALEXANDER GREGORY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:GREGORY
Last Name:BORUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5213 S ALSTON AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-4430
Mailing Address - Country:US
Mailing Address - Phone:919-620-4855
Mailing Address - Fax:
Practice Address - Street 1:2401 HICKSWOOD RD
Practice Address - Street 2:STE 104
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1537
Practice Address - Country:US
Practice Address - Phone:336-884-6000
Practice Address - Fax:336-884-7222
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-01475207Q00000X
NC134282207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine